Overview

In its simplest form, electrical stimulation is the application of electrical impulses to nerves via electrodes placed over the nerve or muscle or implanted within the body. The aim is to evoke a muscle contraction. People may not be able to activate their own muscles sufficiently to execute effective movement due to damage to the nervous system preventing the signals from the brain reaching the muscles, for example, after a stroke or spinal cord injury, or due to disuse, often because of pain. Electrical stimulation can be used to restore or improve impaired function by initiating or complementing muscle activity. Stimulation can be used either to provide exercise and so improve strength and endurance or timed to a physical activity such as walking to improve quality of movement and function. Over the last twenty-five years electrical stimulation has moved from a research technique to an evidence-based clinical modality. Early applications were limited to the treatment of drop-foot and loss of upper limb function. However, advances in technology, understanding of neural recovery and clinical evidence have opened applications to treat a wide range of conditions, such as pressure sores, bladder, bowel and sexual dysfunction, spasticity and lower motor neuron damage. The reader is taken from the history of therapeutic electrical stimulation, through the physiology that underpins its use, to practical guidance in clinical applications and the regulatory issues that need to be considered in the development of new technologies. It presents the research evidence for each application, reflects on new technologies and applications, such as the exciting use of afferent stimulation to increase central and peripheral neural excitability, and provides practical guidance for clinical use. Techniques and Technologies in Electrical Stimulation for Neuromuscular Rehabilitation brings together experts from the fields of neuroscience, biomedical engineering and clinical research and practice. The non-technical style enables it to bridge the gap between disciplines, making it essential reading for clinicians, researchers, engineers and industrial developers specialising in electrical stimulation technologies. It aims to improve patient access to evidence-based interventions.

Full Product Details

Author:   Ian Swain (Professor of Clinical Engineering, Bournemouth University, UK) ,  Jane Burridge (Professor of Restorative Neuroscience, University of Southampton, UK) ,  Tamsyn Street (Interdisciplinary Research Fellow, Salisbury NHS Foundation Trust, UK)
Publisher:   Institution of Engineering and Technology
Imprint:   Institution of Engineering and Technology
ISBN:  

9781839538766

ISBN 10:   1839538767
Pages:   400
Publication Date:   16 December 2024
Audience:   College/higher education ,  Professional and scholarly ,  Tertiary & Higher Education ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Forthcoming
Availability:   Not yet available  
This item is yet to be released. You can pre-order this item and we will dispatch it to you upon its release.

Table of Contents

Introduction Chapter 1: History and Introduction to Electrical Stimulation Chapter 2: Neuromuscular Physiology Chapter 3: Medical Device Safety and Regulatory Compliance - A Guide for Beginners Chapter 4: Afferent and Therapeutic Stimulation treatment after Spinal Cord Injury Chapter 5: Upper Extremity Rehabilitation Chapter 6: Electrical Stimulation in Musculoskeletal Populations Chapter 7: FES to support walking in people with UMN lesions Chapter 8: Functional Electrical Stimulation of Denervated Muscles Chapter 9: Prevention and Treatment of Pressure Ulcers using Electrical Stimulation Chapter 10: Diaphragm Stimulation and Respiratory Function Chapter 11: Practical Considerations in Running a Clinical Service Chapter 12: Neurogenic Bladder, Bowel and Sexual Management Chapter 13: Use of Electrical Stimulation in the Intensive Care Unit (ICU) Chapter 14: Health, Fitness, and Physiological Adaptations after Functional Electrical Stimulation Exercise Chapter 15: Use of ES in Spasticity Management Chapter 16: Paediatric Applications

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Author Information

Ian Swain is a professor of clinical engineering at Bournemouth University, UK. Ian helped established the National Clinical FES (Functional Electrical Stimulation) Centre in Salisbury and took several products they designed to market. Ian was clinical director of OML until 2017 and personally assessed over 3500 patients. Ian has served as a board member of the International Functional Electrical Stimulation Society (2002-2005). He has 7 patents and has written over 200 papers in rehabilitation engineering. Jane Burridge is a professor of restorative neuroscience at the University of Southampton where she leads the Neurorehabilitation Research Group. Drawing from her research, she designs and evaluates rehabilitation technologies that will aid recovery following central nervous system lesions such as stroke or spinal cord injury. She has written over 350 journal articles and conference papers. She is a former President of IFESS (2010). Tamsyn Street is an interdisciplinary research fellow at Salisbury NHS Foundation Trust with a background in motor neurorehabilitation. She is currently an executive board member of the IFESS. Her research interests include the use of electrical stimulation technologies for improving motor neurorehabilitation, neurogenic bowel, bladder, sexual functioning and respiratory functioning and exploring the underlying mechanisms of electrical stimulation to optimise outcomes for patients.

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